Assessment of anal sphincter function by sengstaken-blakemore tube anal manometry

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dc.contributor.authorGünal, Ömer
dc.contributor.authorGürleyik, Emin
dc.contributor.authorArıkan, Yüksel
dc.contributor.authorPehlivan, Mevlüt
dc.date.accessioned2020-04-30T22:39:43Z
dc.date.available2020-04-30T22:39:43Z
dc.date.issued2007
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000243813000020en_US
dc.descriptionPubMed: 17219280en_US
dc.description.abstractBackground: Anal manometry is a useful tool for testing the effectiveness of surgical treatment. However, most techniques for anal pressure measurement are not easily available because of high cost. The aim of the present study was to introduce an easy and reproducible method for measuring anal pressures in testing the effectiveness of surgical procedures. Materials and methods: We used a Sengstaken-Blakemore tube connected to a mercury manometer. After calibration of the system by inflating the distal (gastric) balloon and filling connection lines to the mercury manometer with 0.9% NaCl solution, resting and squeezing anal pressures were measured. The system was used on 50 human subjects (35 with anal fissure and 15 normal volunteers). Left lateral internal sphincterotomy had been performed in the anal fissure cases. Anal pressures were measured preoperatively and on postoperative days (POD) 2 and 20. Results: Preoperative resting anal pressures in the group with anal fissure (83.4 +/- 1 mmHg) were significantly higher than those in the group of normal individuals (52 +/- 1.2 mmHg; p = 0.001). Resting anal pressures after the sphincterotomy (29 +/- 1 mmHg) were found to be significantly lower on POD 2, and resting anal pressure measurements (47 +/- 1 mmHg) on POD 20 were lower than the corresponding preoperative values. These values are closer to those of normal volunteers (p = 0.016). Conclusions: Anal manometry can be performed with this easily constructible and inexpensive system. This reproducible method can be used in the assessment of the results of surgical treatment in patients with anal and perianal diseases.en_US
dc.identifier.doi10.1007/s00268-006-0365-1en_US
dc.identifier.endpage402en_US
dc.identifier.issn0364-2313
dc.identifier.issn1432-2323
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage399en_US
dc.identifier.urihttps://doi.org/10.1007/s00268-006-0365-1
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2806
dc.identifier.volume31en_US
dc.identifier.wosWOS:000243813000020en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofWorld Journal Of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleAssessment of anal sphincter function by sengstaken-blakemore tube anal manometryen_US
dc.typeArticleen_US

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